| NPI | 1275938581 |
|---|---|
| Doing Business As | A DIVISION OF ATLANTIC DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | JOSEPH SIRAGUSA Dentist 757-826-3636 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401410111) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2014-10-29 |